March 7, 2010 (San Diego)--When the health reform discussion turned into a three ring circus last summer on the wave of words and statements like “death panels will kill granny,” an important fact got lost in the shuffle. The idea for family counseling programs with doctors on end-of-life care was brought forth by the insurance companies and added to the mix by a Republican congressman. It made so much sense to the Democrats that they included it in the bill.